<br />.
<br />
<br />.
<br />
<br />Attacbrent M
<br />
<br />PART II
<br />PROJECT APPROVAL. INFORMATION
<br />
<br />0... .0. ....0 'M
<br />
<br />It.., 1,
<br />O;:;;;-;his Clu;atonce ,.,q..,..t require State, local.
<br />....i_I.OI om... priorIty ra'in,? X
<br />_V.,_No
<br />
<br />NdIfte of Go..rninv Bady
<br />Priority Rotin,
<br />
<br />It"' 2.
<br />O;:;;;-;"il auistance r,.quest require State, or local
<br />oo'WiSOlY. educational ot h"lth cleonllnces?
<br />
<br />_Ve.-LNo
<br />
<br />Her'" of Apncy 01
<br />eoa..!
<br />
<br />(ANeeh Ooc"'~entation)
<br />
<br />(..,toeh Commen.s)
<br />
<br />".... J.
<br />Does this \u,iltQ"C'~.req..,.st requit. c:leotin9hous.
<br />'....i... in aCCOIGOnc. with OMS Circular A.9S,?
<br />
<br />_v..
<br />
<br />!terti".
<br />~his Olli.tance ,.,quest ,~...ir. Stat., local,
<br />,..ioneJ or oth., plo"" irt9 oop'O'VGI? X
<br />_Yes
<br />
<br />x
<br />
<br />~.
<br />
<br />Name of ApprO...inl A,eru:y
<br />Do.e
<br />
<br />...
<br />
<br />It.... 5.
<br />I J th. "otl'O,.d project ,overed by an appro..." CCllftpt'..
<br />hensi.... pion?
<br />
<br />_v..
<br />
<br />x
<br />
<br />It.... 6.
<br />iiii"'ih. ouilta~ce ,.q.....t.c1 ''''''.0 F.a.ral X
<br />in'follation? _V.,_No
<br />
<br />1'",7.
<br />~. Qui stance '.-quested c. on Federal kind or
<br />installation?
<br />
<br />x
<br />_ VOl_No
<br />
<br />N.
<br />
<br />'....e. OM: 5....
<br />Local
<br />Revionol
<br />Lo.:ation of Plan
<br />
<br />!"'::
<br />CJ
<br />n
<br />
<br />No'" 01 FMel'01 Installation
<br />F..J.,..1 Populotion ","Ii tine; frDlll F'roject
<br />
<br />HarM of ~ed.rol I"stallation
<br />Loc::otion of F"eral Land
<br />p.,c:em of Prolect
<br />
<br />It.,... 8.
<br />~. ouistonc. requested ha..,. on impact or .ff.c:t
<br />on tit. environment?
<br />
<br />X
<br />_Yes_No
<br />
<br />s.. insrNc:tions fOf additionol information to be
<br />~o.,id.a.
<br />
<br />Item 9.
<br />~. aui.tonce req....._d cau.. th. cH.,.....,
<br />of individuClh, familie., bu.i"...... or fGfftlI?
<br />
<br />X
<br />_Yes_No
<br />
<br />N..,,,,,bef' of:
<br />Individual s
<br />F,milie.
<br />B".iMs.e.
<br />F,nns
<br />
<br />hem 10.
<br />Is rh.re- other ,.Iof.d ouistonc. on rhis Jtrojecr pr.vious,
<br />pendini. or onticipcn.d?
<br />
<br />X
<br />~Y.I_No
<br />
<br />s.. in'tfuc:tions for additional information to be
<br />pro"",d.d.
<br />
<br />~
<br />II m. po'ojec:t in. d.. ig"alltd flood hu;an:l .'''1
<br />
<br />_y..--L.HO
<br />
<br />s.. inaVloICtions for additional inlormetion 10
<br />be ""CHided.
<br />
<br />Exhibit M-3. Application for Federal Assistance (Nonc::onstructicn
<br />Programs )
<br />(Page 5 of 13)
<br />
<br />3
<br />
|